Appendix B: Retroactive Medicaid Eligibility Requests

For retroactive SSI MA, the CAO may process NCEs in maximum 5 month increments for up to 365 days in the past. For retroactive eligibility periods older than 365 days, the CAO must submit a ServiceNow ticket under CAO Applicationà CAO OIM Application Supportà Standaloneà Retro MA Requests so Headquarters staff can manually authorize those eligibility periods.

Updated May 14, 2024, Replacing February 14, 2012